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jo1T1 t3 <br />3 NPRvvk- <br />Rf zvR,Y Rte' 1 <br />Pfd <br />■ Complete Items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery Is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailp{ece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />Mr. Dennis Carpenter <br />720 Tyler, P.O. Box 517 <br />Kremmling, CO 80459 <br />A. Slgn,?ture <br />X / P /*" <br />c. drtf see <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1 ? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />0 Certified Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7010 1060 0001 0936 8174 <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />UNITED STATES POSTAL SERVICE <br />Domestic Retum Receipt <br />102595 -02 -M -1540 <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 Spec <br />File <br />T(�,a3 i9PPRw>� <br />